MEDICARE: DR. ERIC PETER JENSEN DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	00605	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447249560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC PETER JENSEN DPM

Provider Business Mailing Address
First Line	:	1214 SOUTH GRANT ROAD
Second Line	:	MCFARLAND CLINIC PC
City	:	CARROLL
State	:	IA
Zip	:	51401-3047
Country	:	US
Telephone Number	:	712-792-1500
Fax Number	:	712-792-7597

Provider Business Practice Location Address
First Line	:	1214 SOUTH GRANT ROAD
Second Line	:	MCFARLAND CLINIC PC
City	:	CARROLL
State	:	IA
Zip	:	51401-3047
Country	:	US
Telephone Number	:	712-792-1500
Fax Number	:	712-792-7597

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2005
Last Update Date	:	11/13/2020

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